| NPI | 1073786521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IA MD-43426) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MT MED-PHYS-LIC-33185) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: WI 53757-20) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MO 2013015482) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NM MD2015-0203) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: UT 8995595-1205) | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2021-03-09 |